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例1,男,56岁,农民,于1990年5月25日来我科就诊,诊断为左眼视网膜中央动脉阻塞.行球后注射阿托品1mg,经眶下缘中1/3与外1/3交界处的稍上方皮肤垂直进针,待刺入约1cm后再向内上后斜行刺入,深度共约3.5cm,回抽无血即注药.注射过程顺利,患者未感明显疼痛.注射毕,患者精神恐慌,左睑裂闭合,遂令其做睁眼动作,上下睑无活动.查内眼情况同前,视力同前,眼球运动轻度受限,眶内无出血迹象.应急处理.嘱其放松精神消除顾虑,闭目休息.给鲁米那90mg口服.约1小时30分钟,患者精神恢复常态,令其做睁眼动作,此时双眼睑裂比较大致对称,且双眼睑活动协调自如.次日左眼又行此种注射,无类似现象发生.
Example 1, male, 56 years old, farmer, came to our department for treatment on May 25, 1990 and was diagnosed as central retinal artery occlusion in the left eye.Atropine was injected 1mg after traveling the ball, 3 at the junction of slightly above the skin of the needle into the vertical, to be about 1cm after piercing inward and then ramp back into the depth of a total of about 3.5cm, pumping blood without injection that injection smoothly, the patient did not feel significant pain Injecting the patient panic, left palpebral fissure closed, so ordered to do open-eye movements, no activity on the upper and lower eyelid. Chanel eye situation with the former, with the same vision, mild eye movement limited, no signs of bleeding within the orbit. Emergency treatment.Instruct its relaxation to eliminate concerns, turn a blind eye .Rumina 90mg orally.About 1 hour and 30 minutes, the patient’s spirit back to normal, make it open eyes, at this time more symmetrical palpebral fissure, and double Eyelid coordination of ease of action the next day the left eye and line this injection, no similar phenomenon.